Individual provider · Type 1 NPI

Mara Ainsley Tietzen, MD

Pediatric Sports Medicine Physician · Boston, MA

NPI number 1831720903 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Call (857) 218-4924 Map

Fax (617) 730-0683

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X41268 (ZZ)
Pediatric Sports Medicine Physician Primary 2080S0010X283657 (MA)

Pediatric Sports Medicine Physician: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology,…

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About NPI 1831720903

Mara Ainsley Tietzen, MD's National Provider Identifier is 1831720903, issued on Jan 28, 2020. The primary taxonomy on file is Pediatric Sports Medicine Physician (2080S0010X), and the practice location is in Boston, MA. The record was last updated on Jul 9, 2021.